Document Detail


Characteristics of assaultive behavior among psychiatric inpatients.
MedLine Citation:
PMID:  12851439     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The purpose of this study was to assess the extent to which psychosis, disordered impulse control, and psychopathy contribute to assaults among psychiatric inpatients. METHODS: The authors used a semistructured interview to elicit reasons for assaults from assailants and their victims on an inpatient research ward. Video monitoring provided supplemental information to confirm participants' identities and activities before and during the assault. RESULTS: Consensus clinical ratings indicated that approximately 20 percent of the assaults in this sample were directly related to positive psychotic symptoms. Factor analysis revealed two psychosis-related factors, one related to positive psychotic symptoms and the other to psychotic confusion and disorganization, as well as a third factor that differentiated impulsive from psychopathic assaults. CONCLUSIONS: Information obtained from interviews with assailants can reveal the underlying causes of specific assaults. This information is potentially useful in the selection of rational antiaggressive treatment strategies.
Authors:
Karen A Nolan; Pál Czobor; Biman B Roy; Meredith M Platt; Constance B Shope; Leslie L Citrome; Jan Volavka
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Psychiatric services (Washington, D.C.)     Volume:  54     ISSN:  1075-2730     ISO Abbreviation:  Psychiatr Serv     Publication Date:  2003 Jul 
Date Detail:
Created Date:  2003-07-09     Completed Date:  2003-11-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9502838     Medline TA:  Psychiatr Serv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1012-6     Citation Subset:  IM    
Affiliation:
Nathan S. Kline Institute for Psychiatric Research, 140 Old Orangeburg Road, Orangeburg, New York 10962, USA. nolan@nki.rfmh.org
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MeSH Terms
Descriptor/Qualifier:
Consensus
Factor Analysis, Statistical
Female
Hospitalization
Humans
Impulsive Behavior / psychology
Inpatients / psychology*,  statistics & numerical data*
Male
Mental Disorders / rehabilitation*
Psychotherapy / methods
Risk Factors
Sex Factors
Videotape Recording
Violence / psychology*,  statistics & numerical data*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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